KansasNet DSL Order Form for AT&T/SBC Territories

 

Installation Total: $_______________

 

Equipment Total: $ _______________

 

Monthly Service:  $_______________

 

Commitment:            _____  Months

 
(Please answer the following questions)

Date:___ / ___ / _______

Note that certain service types and minimum connection rates are not available in all areas. Consult your sales person for availability.

 
 

 

 

 

 


Circle the dollar amount associated with the service type you want.

Speed Class

Downstream (bps)

Upstream (bps)

Single-PC

2-4 PCs

5-9 PCs

10+ PCs

Primary*§

Up to 384k

128k to 384k

 $24.95/mo.1
 $34.95/mo.2

 $29.95/mo.1
 $39.95/mo.2

 $39.95/mo.1
 $49.95/mo.2

ASK

Primary+*§

Up to 1.5M

128k to 384k

 $24.95/mo.1
 $34.95/mo.2

 $29.95/mo.1
 $39.95/mo.2

 $39.95/mo.1
 $49.95/mo.2

ASK

Basic*§

384k to 1.5M

128k to 384k

 $24.95/mo.1
 $34.95/mo.2

 $29.95/mo.1
 $39.95/mo.2

 $39.95/mo.1
 $49.95/mo.2

ASK

Basic+*§

768k to 1.5M

256k to 384k

 $39.95/mo.1
 $49.95/mo.2

 $49.95/mo.1
 $59.95/mo.2

 $59.95/mo.1
 $69.95/mo.2

ASK

Advanced Residential*

1.5M to 3.0M

384k to 512k

 $34.95/mo.1
 $44.95/mo.2

 $49.95/mo.1
 $59.95/mo.2

 $64.95/mo.1
 $74.95/mo.2

ASK

Advanced Business§

1.5M to 3.0M

384k to 512k

 $49.95/mo.1
 $59.95/mo.2

 $64.95/mo.1
 $74.95/mo.2

 $79.95/mo.1
 $89.95/mo.2

ASK

Premium Residential*

1.5M to 6.0M

384k to 608k

 $54.95/mo.1
 $69.95/mo.2

 $69.95/mo.1
 $84.95/mo.2

 $84.95/mo.1
 $99.95/mo.2

ASK

Premium Business§

1.5M to 6.0M

384k to 608k

 $99.95/mo.1
 $114.95/mo.2

 $119.95/mo.1
 $134.95/mo.2

 $139.95/mo.1
 $154.95/mo.2

ASK

Advanced+ Residential*

3.0M to 6.0M

512k to 768k

 $54.95/mo.1
 $69.95/mo.2

 $69.95/mo.1
 $84.95/mo.2

 $84.95/mo.1
 $99.95/mo.2

ASK

Advanced+ Business§

3.0M to 6.0M

512k to 768k

 $99.95/mo.1
 $114.95/mo.2

 $119.95/mo.1
 $134.95/mo.2

 $139.95/mo.1
 $154.95/mo.2

ASK

Symmetric*§

384k to 416k

384k to 416k

 $69.95/mo.1
 $79.95/mo.2

 $79.95/mo.1
 $89.95/mo.2

 $89.95/mo.1
 $99.95/mo.2

ASK

 

¹ Indicates monthly pricing for new subscribers with a 1-year term commitment.  An Early Termination Fee (ETF) will be applied for any service cancelled prior to the termination agreement date.  The Early Termination Fee will equal $249 or your monthly service rate times the number of months left in your service agreement, whichever is less.
² Indicates monthly pricing for new subscribers without a 1-year term commitment.  A $99 additional one-time setup fee applies when you choose service without term commitment; this additional fee must be paid in full upon service agreement.

* Indicates rate applicable for residential telephone lines only (rate not available for business-lines, see below).
§ Indicates rate applicable for business-grade telephone lines.


Verify Number of Devices to be connected  (not including your router): _____

 

DSL Modem Install Kit (circle one):

SINGLE-PC ONLY with 1-year commitment:

 FREE Internal PCI modem (while supplies last)

 $49 Standard DSL modem

MULTIPLE-PC with 1-year commitment:

 $49 DSL modem with Integrated router feature enabled

 $99 DSL modem with Integrated router & Built-In 4-port switch

SINGLE-PC without commitment:

 $99 Standard DSL modem

MULTIPLE-PC without commitment:

 $99 DSL modem with Integrated router feature

 $139 DSL modem with Integrated router & Built-In 4-port switch

 

 

PCI Network card needed (additional charges may apply) :           YES         NO

Number of phone jacks used in house/building (i.e. for telephones, answer machine, security system, FAX): ____

Number of phone line filters needed (up to 3 included for no charge, additional filters $10/ea.):   ____________
What kind of IP addressing scheme do you want?
  Dynamic      Static                  # of IPs _______

(Note: static IP addresses are an additional $10/month/address and are not included with this service.)

 

End-User Information

End User Name                     ________________________________________________________________

Service Address                   ________________________________________________________________

City, State, Zip                      ________________________________________________________________          

DSL Telephone Number     ________________________________________________________________

Contact Name                       ________________________________________________________________

Contact Phone Number       ________________________________________________________________

 

I, the undersigned, realize that this is an obligation for KansasNet DSL service.  I am authorized to, and do agree to commit (name of end user, or company) _____________________________________  to the payments (based on my selections in this document) for this service.  I realize that the early termination fee for this service is $249 or themonthly service fee multiplied by the number of months remaining in the commitment, whichever is less.  I understand that I may also be charged a Tax Recovery Fee, which is the recovery of tax that KansasNet must pay when KansasNet purchases the DSL circuit from the telephone company.  By signing this, I also confirm that I have read, and do agree to KansasNet’s document titled “KansasNet Terms of Access.”

Customer Name (Printed) _____________________________________

Customer Signature ______________________________    Date________________

 

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Note:  DSL Internet services are provided by Kansasnet.  Monthly pricing includes GSP charges.  A Tax Recovery fee may apply.  Regular voice telephone line and service not included. One-time charges for hardware, installation & service order may apply.  Early termination fees and other restrictions apply.  Additional charges may apply for installation and non-standard wiring or other inside work or equipment required.  KansasNet DSL, or it’s various options may not be available in some areas due to factors associated with DSL technology such as line conditions or distance.  Connection speed is between customer premise and the DSL-equipped serving central office or DSL gateway.  Actual connection speeds may vary.  Network connections may require higher-end DSL services, additional products and services, and/or more than one DSL connection. The service is not guaranteed to work until the technician installs and tests the service.

 

NOTES:                                                                                                                                                                                 

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